Pre-Diabetes and bread

Posted by testudo @testudo, Sep 10 12:40pm

Just “diagnosed” as pre-diabetes. But consider myself diabetic. Last glucose at 115 and AC1 at 6. The diets are a jungle and my first question to post is the infamous bread. Is there straight forward answer about bread? I know the white bread is out. Thanks, John

Hi John. Welcome to the group. I wouldn't say white bread is out. I would say that bread, like every other carb, needs to be consumed in moderation. Good luck.

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@tjgisewhite

Hi John. Welcome to the group. I wouldn't say white bread is out. I would say that bread, like every other carb, needs to be consumed in moderation. Good luck.

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Thank you Tammy, truth is I haven’t had white bread since I was a child. Rye and wheat bread are my staples. So a ham or turkey sandwich on rye bread or a wheat bun every so often is ok?

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Hi John @testudo, I add my welcome to Mayo Clinic Connect along with Tammy's. Glad you found the group. I do not have diabetes myself, but there are a lot of members that do. I would like to invite @popolopo, @shuf, @fdan, @dorisena, @susu2, @contentandwell, @lioness, @hadit17, @dietgourmet, and @oldkarl to the conversation to get their input.

"The American Diabetes Association recommends choosing whole grain bread or 100 percent whole wheat bread instead of white bread. White bread is made from highly processed white flour and added sugar."

You may be interested in reading on of the discussions on Diabetic Diets here: https://connect.mayoclinic.org/discussion/diet-for-diabetic-and-low-oxalate-requirements/

Also here are two great sites that provide a host of information regarding bread and dieting for diabetics.
Diabetes diet: Create your healthy-eating plan – https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-diet/art-20044295
The Best Breads for Diabetics – https://www.healthline.com/health/diabetes/best-bread-for-diabetics

John, did your doctor recommend just a more strict diet or did he offer up other tools and advice as well? Are you struggling with any other foods?

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Hi John. I am not a doctor and I can only a test to what works for me. I am diabetic T2 and don't deny myself of anything. Again, it's all in moderation.

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Based on my experience for 14 years, you may have a chance of getting rid of the blood sugar problem in your life, so please don't think of yourself as being "sick" and needing medicine. It is the number of carbs that you eat each day and the amount of exercise that makes the difference. Since some carbs are low on the glycemic index and white bread is high, your sandwich is fine on your diet. Some people give up milk, but I choose to drink it and cut out other foods that spike my blood sugar. You learn to balance protein, veggies, fruit and some grains and nuts or whatever the nutritionist recommends for your needs. Just remember to never eat a snack that is sugar loaded by itself. You will get the hang of it in no time. Eat at regular times as well. Eat breakfast.
Learn to love the fresh vegetables. Add them to plain recipes. Enjoy new foods, except sugary sweets. They are only for special occasions. Dorisena

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@tjgisewhite

Hi John. I am not a doctor and I can only a test to what works for me. I am diabetic T2 and don't deny myself of anything. Again, it's all in moderation.

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@tjgisewhite @testudo . Moderation is, I think, key to eating well and controlling your diabetes. That, plus learning about carbs and exercising, should serve you well .

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@trishanna

@tjgisewhite @testudo . Moderation is, I think, key to eating well and controlling your diabetes. That, plus learning about carbs and exercising, should serve you well .

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@testudo. A friend was on insulin now she is free of her diabetes What she did was follow a diabetic and gluten free diet. Watching your carbs so important Bread in your body turns into sugar so moderation

Liked by trishanna

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@tjgisewhite

Hi John. I am not a doctor and I can only a test to what works for me. I am diabetic T2 and don't deny myself of anything. Again, it's all in moderation.

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@tjgisewhite @testudo I too am a type 2 diabetic and also eat almost everything but in moderation. It seems to be working for me because my last two A1c tests were both under 5. I would love to have ice cream but avoiding that is easier now because I recently developed lactose intolerance too!

I do exercise a lot so I am sure that helps.

@testudo Are you still a practicing doctor or have you retired? What type of doctor are you or were you?
JK

Liked by trishanna, lioness

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Hi and “welcome” to the weird world of diabetes. Right now you are in a great position, if you aim to keep your numbers the same you’ll do fine.

The first thing I would do is get off the couch and start moving. Daily walks (or runs) are great, I joined a 24-hour gym so I could go whenever I could fit my schedule in. That will make the biggest difference.

Regarding bread, I stay away from almost all. If I’m only going to eat a sandwich with a fruit/veggie I use seeded rye bread which has the among the lowest carbs among bread, it works good for me. Also, you can get low net carb wraps at Walmart and other stores. I aim for less than 40-45 carbs per meal, and calculate net carbs as Total Carbs minus Fiber.

I also avoid or limit the following foods in addition to bread: rice, spaghetti and/or noodles, bagels, pancakes, potatoes (and french fries) and other high-carb foods. I don’t subscribe to a high vegetable diet as some do because of other health concerns, but eat a lot of protein primarily from turkey and chicken. Fish is also good if you can get some you like.

I wish you all the best, and don’t hesitate to ask any questions you have.

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@howardm Generally, I agree with all that you wrote, but having trouble getting protein from several sources. You list turkey. Do you prepare a whole turkey, Turkey breast, or turkey pieces? My husband won't eat deli; we've tried every frozen turkey "entre" there is, but all terrible. Beef and pork not options. I am a bit limited when it comes to physically preparing a turkey, so wondered if I'm missing an obvious choice.

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I primarily eat deli turkey, love the Sara Lee honey-roasted. But I also get protein from eggs, cheese, chicken, etc. I have to take naps so before I lay down I’ll have 1 cup of cottage cheese which is over 20 grams protein; it doesn’t add weight like other foods before a nap, and helps keep my blood sugar in the good range. (Yeah, there’s other things that taste a whole lot better, but being around for my grandchildren is more important to me!)

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I understand! Shall give Sara Lee a try! Thanks!

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I’ve found that even whole grain breads are loaded with sugar. Is there one that’s suitably low on sugar?

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Yes, they have sugar to help mask the strong flavor of the wheat grain. I just read labels and choose one that perhaps has some seeds or a mix of grains and the fewest calories on the shelf today. I eat less than one loaf a week and eat few sandwiches. Buns are sweeter than bread so one bun should be counted as two servings of bread. I can eat a hamburger with a fork on a plate with all the extras and skip the bun. Rye bread works well in my diet. The brand that is called Hawaiian bread is way too sweet for me to eat. Italian bread is usually made from flour, yeast, and water, maybe some salt. It is the least calories if you must have a little white bread to sop up your spaghetti sauce on your plate. Don't eat it every day. Change your diet gradually and you won't miss the sugar. I just read labels and count the number of carbs I eat each day. I don't worry about calories because the natural food doctors recommend a higher fat diet than we have been taught in the past. Good fat slows down the sugar spike. It is a balancing act and I am getting better at it each day. Dorisena

Liked by lioness

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I forgot to mention that the little sugar in the bread makes the yeast grow and isn't as big a problem as the white flour which makes sugar in the metabolism.
Also, the amount of fat eaten with the bread slows down the sugar spike after a meal. It is a nutrient balance issue, and the amount matters. I suspect there is more sugar in whole wheat breads to mask the stronger flavor, but you need to check the label and look for bread that is about 15 grams of carbs which is considered one serving, more or less. Or, eat the higher carb bread and cut other carbs out of the meal. Have your higher carb meal at lunch so you have time to work the calories off before evening. All this adjusting pays of in the end. Taking some pills is not the whole plan, as you can learn from the other people who report on this conversation. Dorisena

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